A Fatal Outcome of Ludwig's Angina and Necrotizing Fasciitis Following Traditional Tooth Extraction.

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL
International Medical Case Reports Journal Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI:10.2147/IMCRJ.S488135
Abdullahi Abdiaziz Abukar, Mihret Adane Woldemichael, Elizabeth Vargas Escalante, Brian Agaba, Yanurkis Duranones Rosales
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引用次数: 0

Abstract

Ludwig's angina is a potentially fatal condition characterized by a rapid onset of cellulitis that bilaterally involves the submandibular, sublingual, and submental spaces. This report describes the case of a 29-year-old female who presented to us with Ludwig's angina following a tooth extraction performed by a traditional healer in Southwestern Uganda. The patient stayed home for over a week before she could seek formal treatment, and this delay led to severe infection and necrotizing fasciitis with extensive tissue necrosis. Despite multiple in-hospital interventions which included incision, drainage, and debridement, the patient succumbed to complications such as secondary lung infection, septicemia, and disseminated intravascular coagulation (DIC). This case report highlights the importance of timely medical intervention, socioeconomic barriers, and antibiotic resistance challenges.

传统拔牙后路德维希心绞痛和坏死性筋膜炎的致命结果。
路德维希心绞痛是一种潜在的致命疾病,其特征是快速发作的蜂窝织炎,双侧包括下颌下、舌下和颏下间隙。本报告描述了一名29岁女性的病例,她在乌干达西南部的一位传统治疗师拔牙后向我们提出了路德维希心绞痛。患者在家中待了一周多才寻求正式治疗,这一延误导致严重感染和坏死性筋膜炎伴广泛组织坏死。尽管采取了包括切口、引流和清创在内的多种院内干预措施,该患者还是死于继发性肺部感染、败血症和弥散性血管内凝血(DIC)等并发症。本病例报告强调了及时医疗干预、社会经济障碍和抗生素耐药性挑战的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Medical Case Reports Journal
International Medical Case Reports Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
135
审稿时长
16 weeks
期刊介绍: International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.
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